Kovarik J L
Int Surg. 1981 Oct-Dec;66(4):315-7.
In spite of the fact that Meckel's diverticulum is the most common congenital abnormality of the small bowel, there is considerable controversy concerning its surgical management. Resection of a symptomatic Meckel's diverticulum is not a common operation in the experience of most general surgeons. As illustrated by the cases presented in this series, the indications for operation are usually clear. Should abdominal exploration routinely include a search for a Meckel's diverticulum and should it be resected in the absence of symptoms? Although there is no compelling evidence to support the opinion that an asymptomatic Meckel's diverticulum constitutes a major threat to the future well-being of a patient, it is apparent that incidental removal is associated with minimal risk of complications. What are the medicolegal implications? A series of 13 patients is presented to review the salient features of this interesting anomaly, together with pertinent comments from the literature.
尽管梅克尔憩室是小肠最常见的先天性异常，但关于其手术治疗仍存在相当大的争议。在大多数普通外科医生的经验中，切除有症状的梅克尔憩室并非常见手术。正如本系列所展示的病例，手术指征通常是明确的。腹部探查常规是否应包括寻找梅克尔憩室，无症状时是否应将其切除？尽管没有确凿证据支持无症状的梅克尔憩室对患者未来健康构成重大威胁这一观点，但显然，偶然切除的并发症风险极小。其法医学意义是什么？本文报告了13例患者，以回顾这一有趣异常的显著特征，并附上文献中的相关评论。
